Individual
GREGG L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 MALABAR ST, LAKEWAY, TX 78734-4341
(512) 689-1699
Mailing address
807 MALABAR ST, LAKEWAY, TX 78734-4341
(512) 689-1699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159664501
—
TX
Enumeration date
06/15/2006
Last updated
12/13/2012
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